Hupp, Susan Rachel

Hupp, Susan Rachel is an individual health care provider with primary practice located at 1405 Clifton Rd Ne , Atlanta GA 30322-7208. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Hupp, Susan Rachel can be contacted via phone (404) 256-2593.

Contact Information

Primary practice address
1405 Clifton Rd Ne Atlanta GA 30322-7208
Fax: (770) 488-9408
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35094839 Ohio
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X Q5671 Texas

Profile Details

NPI number 1639330640
LBN Legal business name Hupp, Susan Rachel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Jan 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639330640 NPPES
Georgia MEDICAID 003216382A

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